Published in J Am Med Inform Assoc on April 24, 2008
Data from clinical notes: a perspective on the tension between structure and flexible documentation. J Am Med Inform Assoc (2011) 2.57
Quantifying clinical narrative redundancy in an electronic health record. J Am Med Inform Assoc (2010) 2.31
The future state of clinical data capture and documentation: a report from AMIA's 2011 Policy Meeting. J Am Med Inform Assoc (2012) 1.38
Assessing Electronic Note Quality Using the Physician Documentation Quality Instrument (PDQI-9). Appl Clin Inform (2012) 1.21
Relationship between nursing documentation and patients' mortality. Am J Crit Care (2013) 1.05
The effectiveness of a bundled intervention to improve resident progress notes in an electronic health record. J Hosp Med (2014) 1.03
Computerized provider documentation: findings and implications of a multisite study of clinicians and administrators. J Am Med Inform Assoc (2013) 0.97
QNOTE: an instrument for measuring the quality of EHR clinical notes. J Am Med Inform Assoc (2014) 0.92
Initial Steps toward Validating and Measuring the Quality of Computerized Provider Documentation. AMIA Annu Symp Proc (2010) 0.88
The physical attractiveness of electronic physician notes. AMIA Annu Symp Proc (2010) 0.88
Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research. BMC Health Serv Res (2012) 0.85
What do physicians read (and ignore) in electronic progress notes? Appl Clin Inform (2014) 0.80
Concordance of Electronic Health Record (EHR) Data Describing Delirium at a VA Hospital. AMIA Annu Symp Proc (2014) 0.78
A comparison of mental state examination documentation by junior clinicians in electronic health records before and after the introduction of a semi-structured assessment template (OPCRIT+). Int J Med Inform (2015) 0.75
The relationship between structural characteristics of 2010 challenge documents and ratings of document quality. AMIA Annu Symp Proc (2012) 0.75
HL7 Clinical Document Architecture, Release 2. J Am Med Inform Assoc (2005) 10.09
The HL7 Clinical Document Architecture. J Am Med Inform Assoc (2001) 7.42
The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. J Am Med Inform Assoc (2005) 6.19
Accuracy of data in computer-based patient records. J Am Med Inform Assoc (1997) 5.70
A piece of my mind. Copy-and-paste. JAMA (2006) 4.83
Direct text entry in electronic progress notes. An evaluation of input errors. Methods Inf Med (2003) 4.00
Use of computer-based records, completeness of documentation, and appropriateness of documented clinical decisions. J Am Med Inform Assoc (1999) 3.60
Impacts of computerized physician documentation in a teaching hospital: perceptions of faculty and resident physicians. J Am Med Inform Assoc (2004) 3.24
The accuracy of medication data in an outpatient electronic medical record. J Am Med Inform Assoc (1996) 2.73
Are electronic medical records trustworthy? Observations on copying, pasting and duplication. AMIA Annu Symp Proc (2003) 2.55
Evaluation of residents' delivery notes after a simulated shoulder dystocia. Obstet Gynecol (2004) 2.15
Assessing the quality of clinical data in a computer-based record for calculating the pneumonia severity index. J Am Med Inform Assoc (2000) 1.94
Experience in implementing inpatient clinical note capture via a provider order entry system. J Am Med Inform Assoc (2004) 1.85
Copying and pasting of examinations within the electronic medical record. Int J Med Inform (2006) 1.66
Can history and physical examination be used as markers of quality? An analysis of the initial visit note in musculoskeletal care. Med Care (2000) 1.52
Primary care physician attitudes regarding communication with hospitalists. Am J Med (2001) 1.51
Physician use of electronic medical records: issues and successes with direct data entry and physician productivity. AMIA Annu Symp Proc (2005) 1.48
Data quality in the outpatient setting: impact on clinical decision support systems. AMIA Annu Symp Proc (2005) 1.41
Standardized or narrative discharge summaries. Which do family physicians prefer? Can Fam Physician (1998) 1.38
Quality and correlates of medical record documentation in the ambulatory care setting. BMC Health Serv Res (2002) 1.25
Surgical discharge summaries: improving the record. Ann R Coll Surg Engl (1993) 1.22
Measuring the quality of medical records: a method for comparing completeness and correctness of clinical encounter data. Proc AMIA Symp (2001) 1.18
Clinicians' perceptions of usability of eNote. AMIA Annu Symp Proc (2005) 1.14
Electronic discharge summaries. AMIA Annu Symp Proc (2005) 1.14
Passing the clinical baton: 6 principles to guide the hospitalist. Am J Med (2001) 1.11
Development of a rating scale to evaluate written communication skills of residents. Acad Med (1999) 1.11
Preformatted charts improve documentation in the emergency department. Ann Emerg Med (1992) 1.09
JCAHO's 2006 National Patient Safety Goals: handoffs are biggest challenge. Hosp Peer Rev (2005) 1.04
Can written communication skills be tested in an objective structured clinical examination format? Acad Med (2002) 1.02
Heterogeneous effect of an Emergency Department Expert Charting System. Ann Emerg Med (2003) 1.00
The transition to electronic documentation on a teaching hospital medical service. AMIA Annu Symp Proc (2006) 0.98
Anonymized dysgraphia. J R Soc Med (2003) 0.96
Heuristic evaluation of eNote: an electronic notes system. AMIA Annu Symp Proc (2006) 0.92
Using factor analysis for validity assessment: practical considerations. J Nurs Meas (2003) 0.91
"Conventional" dictated versus database-generated discharge summaries: timeliness, quality and completeness. CMAJ (1999) 0.91
Teaching residents coding and documentation: effectiveness of a problem-oriented approach. Am J Obstet Gynecol (2005) 0.90
Reflections: the hospitalist movement a decade later. J Hosp Med (2006) 0.90
Performance-based assessment of internal medicine interns: evaluation of baseline clinical and communication skills. Acad Med (2002) 0.89
Emergency medicine resident documentation: results of the 1999 american board of emergency medicine in-training examination survey. Acad Emerg Med (2000) 0.89
Routine editing of trainee-generated radiology reports: effect on style quality. Acad Radiol (2003) 0.85
Mobile decision support for advanced practice nurses. Stud Health Technol Inform (2006) 0.78
Systematic evaluation of computer-based nursing documentation. Stud Health Technol Inform (2001) 0.78
Central challenges facing the national clinical research enterprise. JAMA (2003) 17.41
How we design feasibility studies. Am J Prev Med (2009) 4.45
Bridging the digital divide: reaching vulnerable populations. J Am Med Inform Assoc (2004) 4.28
Automatic resolution of ambiguous terms based on machine learning and conceptual relations in the UMLS. J Am Med Inform Assoc (2002) 4.24
Clinical information needs in context: an observational study of clinicians while using a clinical information system. AMIA Annu Symp Proc (2003) 3.91
Breaking the translational barriers: the value of integrating biomedical informatics and translational research. J Investig Med (2005) 3.67
Theoretical, empirical and practical approaches to resolving the unmet information needs of clinical information system users. Proc AMIA Symp (2002) 3.45
Modeling electronic discharge summaries as a simple temporal constraint satisfaction problem. J Am Med Inform Assoc (2004) 2.88
Grounding a new information technology implementation framework in behavioral science: a systematic analysis of the literature on IT use. J Biomed Inform (2003) 2.54
The sublanguage of cross-coverage. Proc AMIA Symp (2002) 2.50
Defining interdisciplinary research: conclusions from a critical review of the literature. Health Serv Res (2007) 2.49
Use of online resources while using a clinical information system. AMIA Annu Symp Proc (2003) 2.49
An electronic health record based on structured narrative. J Am Med Inform Assoc (2007) 2.36
Quantifying clinical narrative redundancy in an electronic health record. J Am Med Inform Assoc (2010) 2.31
EliXR: an approach to eligibility criteria extraction and representation. J Am Med Inform Assoc (2011) 2.26
Synergies and distinctions between computational disciplines in biomedical research: perspective from the Clinical andTranslational Science Award programs. Acad Med (2009) 2.25
Inter-patient distance metrics using SNOMED CT defining relationships. J Biomed Inform (2006) 2.12
Measurement of organizational culture and climate in healthcare. J Nurs Adm (2004) 2.11
A review of approaches to identifying patient phenotype cohorts using electronic health records. J Am Med Inform Assoc (2013) 2.02
Conceptual knowledge acquisition in biomedicine: A methodological review. J Biomed Inform (2007) 2.02
Document ontology: supporting narrative documents in electronic health records. AMIA Annu Symp Proc (2005) 2.00
Training for interdisciplinary health research: defining the required competencies. J Allied Health (2008) 1.96
Review of health information technology usability study methodologies. J Am Med Inform Assoc (2011) 1.94
The classification of clinicians' information needs while using a clinical information system. AMIA Annu Symp Proc (2003) 1.85
Reengineering clinical research with informatics. J Investig Med (2006) 1.79
Development and evaluation of a study design typology for human research. AMIA Annu Symp Proc (2009) 1.70
Description of a method to support public health information management: organizational network analysis. J Biomed Inform (2006) 1.65
Syndromic surveillance using ambulatory electronic health records. J Am Med Inform Assoc (2009) 1.64
A tablet computer application for patients to participate in their hospital care. AMIA Annu Symp Proc (2011) 1.64
Testing a nurse-tailored HIV medication adherence intervention. Nurs Res (2006) 1.60
The human studies database project: federating human studies design data using the ontology of clinical research. AMIA Jt Summits Transl Sci Proc (2010) 1.58
Characterizing information needs and cognitive processes during CIS use. AMIA Annu Symp Proc (2003) 1.58
User acceptance of HIV TIDES--Tailored Interventions for Management of Depressive Symptoms in persons living with HIV/AIDS. J Am Med Inform Assoc (2007) 1.57
Development and representation of a fall-injury risk assessment instrument in a clinical information system. Stud Health Technol Inform (2004) 1.54
Representing nursing assessments in clinical information systems using the logical observation identifiers, names, and codes database. J Biomed Inform (2003) 1.49
Findings from an organizational network analysis to support local public health management. J Urban Health (2008) 1.47
Practical considerations for exploiting the World Wide Web to create infobuttons. Stud Health Technol Inform (2004) 1.45
Evolution of coauthorship in public health services and systems research. Am J Prev Med (2011) 1.44
Preliminary analysis for the development of a PDA-based decision support system for the screening and management of obesity. Stud Health Technol Inform (2006) 1.43
A nursing informatics research agenda for 2008-18: contextual influences and key components. 2008. Nurs Outlook (2012) 1.43
A day in the life of a clinical research coordinator: observations from community practice settings. Stud Health Technol Inform (2007) 1.38
Toward the creation of an ontology for nursing document sections: mapping section names to the LOINC semantic model. AMIA Annu Symp Proc (2006) 1.37
Using electronic health record alerts to provide public health situational awareness to clinicians. J Am Med Inform Assoc (2010) 1.36
Web-based education for low-literate parents in Neonatal Intensive Care Unit: development of a website and heuristic evaluation and usability testing. Int J Med Inform (2010) 1.35
Development and evaluation of an ontology for guiding appropriate antibiotic prescribing. J Biomed Inform (2011) 1.33
Semi-Automatically Inducing Semantic Classes of Clinical Research Eligibility Criteria Using UMLS and Hierarchical Clustering. AMIA Annu Symp Proc (2010) 1.33
Signposts along the NIH roadmap for reengineering clinical research: lessons from the Clinical Research Networks initiative. Arch Intern Med (2008) 1.33
Modeling clinical trials workflow in community practice settings. AMIA Annu Symp Proc (2006) 1.31
Information needs, Infobutton Manager use, and satisfaction by clinician type: a case study. J Am Med Inform Assoc (2008) 1.31
Exploring the ability of natural language processing to extract data from nursing narratives. Comput Inform Nurs (2009) 1.30
ISO reference terminology models for nursing: applicability for natural language processing of nursing narratives. Int J Med Inform (2005) 1.30
A centralized research data repository enhances retrospective outcomes research capacity: a case report. J Am Med Inform Assoc (2013) 1.29
Iterative evaluation of the Health Level 7--Logical Observation Identifiers Names and Codes Clinical Document Ontology for representing clinical document names: a case report. J Am Med Inform Assoc (2009) 1.27
Model development for EHR interdisciplinary information exchange of ICU common goals. Int J Med Inform (2010) 1.25
Usability testing of a web-based tool for managing open shifts on nursing units. Stud Health Technol Inform (2009) 1.24
Signout: a collaborative document with implications for the future of clinical information systems. AMIA Annu Symp Proc (2007) 1.24
Mining complex clinical data for patient safety research: a framework for event discovery. J Biomed Inform (2003) 1.22
Understanding interdisciplinary health sciences collaborations: a campus-wide survey of obesity experts. AMIA Annu Symp Proc (2008) 1.22
Assessing Electronic Note Quality Using the Physician Documentation Quality Instrument (PDQI-9). Appl Clin Inform (2012) 1.21
HIV patients' willingness to share personal health information electronically. Patient Educ Couns (2010) 1.19
Content overlap in nurse and physician handoff artifacts and the potential role of electronic health records: a systematic review. J Biomed Inform (2011) 1.18
An unsupervised machine learning approach to segmentation of clinician-entered free text. AMIA Annu Symp Proc (2007) 1.16
Multitasking by clinicians in the context of CPOE and CIS use. Stud Health Technol Inform (2007) 1.15
A practical approach for content mining of Tweets. Am J Prev Med (2013) 1.14
Scenario-based assessment of physicians' information needs. Stud Health Technol Inform (2004) 1.14
Clinicians' perceptions of usability of eNote. AMIA Annu Symp Proc (2005) 1.14
Recent advances in shared decision making for mental health. Curr Opin Psychiatry (2008) 1.14
Architectural and usability considerations in the development of a Web 2.0-based EHR. Stud Health Technol Inform (2009) 1.13
Health literacy screening instruments for eHealth applications: a systematic review. J Biomed Inform (2012) 1.12
An initial log analysis of usage patterns on a research networking system. Clin Transl Sci (2012) 1.12
A comparison of usability evaluation methods: heuristic evaluation versus end-user think-aloud protocol - an example from a web-based communication tool for nurse scheduling. AMIA Annu Symp Proc (2009) 1.12
Extracting temporal constraints from clinical research eligibility criteria using conditional random fields. AMIA Annu Symp Proc (2011) 1.12
Toward semantic interoperability in home health care: formally representing OASIS items for integration into a concept-oriented terminology. J Am Med Inform Assoc (2005) 1.11
Developing, implementing, and evaluating decision support systems for shared decision making in patient care: a conceptual model and case illustration. J Biomed Inform (2003) 1.10
Graph theoretic modeling of large-scale semantic networks. J Biomed Inform (2005) 1.10
Using empiric semantic correlation to interpret temporal assertions in clinical texts. J Am Med Inform Assoc (2008) 1.10
Perceived nursing work environment of critical care nurses. Nurs Res (2004) 1.09
Effect of an informatics for evidence-based practice curriculum on nursing informatics competencies. Int J Med Inform (2005) 1.09
Natural language processing challenges in HIV/AIDS clinic notes. AMIA Annu Symp Proc (2003) 1.08
Representing nested semantic information in a linear string of text using XML. Proc AMIA Symp (2002) 1.07
Content and structure of clinical problem lists: a corpus analysis. AMIA Annu Symp Proc (2008) 1.06
Topological analysis of large-scale biomedical terminology structures. J Am Med Inform Assoc (2007) 1.06
Relationship between nursing documentation and patients' mortality. Am J Crit Care (2013) 1.05
Online health information seeking behaviors of Hispanics in New York City: a community-based cross-sectional study. J Med Internet Res (2014) 1.04
Personal digital educators. N Engl J Med (2005) 1.04
Awareness of the Care Team in Electronic Health Records. Appl Clin Inform (2011) 1.03
Voice capture of medical residents' clinical information needs during an inpatient rotation. J Am Med Inform Assoc (2009) 1.03
Near-miss and hazard reporting: promoting mindfulness in patient safety education. Stud Health Technol Inform (2007) 1.02
Psychometric properties of the self-assessment of nursing informatics competencies scale. Stud Health Technol Inform (2009) 1.02
Development and evaluation of nursing user interface screens using multiple methods. J Biomed Inform (2009) 1.02
Development of a Customizable Health IT Usability Evaluation Scale. AMIA Annu Symp Proc (2010) 1.02
mHealth Technology as a Persuasive Tool for Treatment, Care and Management of Persons Living with HIV. AIDS Behav (2015) 1.02
Applying an evaluation framework for health information system design, development, and implementation. Nurs Res (2006) 1.02